# MARTIN TIPTON PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martin Tipton Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487000931
- **Authorized official:** J MARK VOGLER RPH (PRESIDENT)
- **Authorized official phone:** (806) 373-2812

## Contact information

- **Practice address:** 1501 S TYLER ST, AMARILLO, TX 79101-4240
- **Practice address phone:** (806) 373-2812
- **Practice address fax:** (806) 372-6550
- **Mailing address:** PO BOX 30863, AMARILLO, TX 79120-0863
- **Mailing address phone:** (806) 373-2812
- **Mailing address fax:** (806) 372-6550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 99-6012 | OK | — |
| 3336C0003X | Community/Retail Pharmacy | PH00003537 | NM | — |
| 3336C0004X | Compounding Pharmacy | 19969 | TX | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 04/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 144949 | — | TX |
| 01 | — | 2160086 | PK | — |